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Organization

INNOVATIVE DIALYSIS CENTERS OF LA JOLLA LLC

Active
Parent organization
U.S. RENAL CARE, INC.
Other names
U.S. Renal Care Chula Vista Dialysis
Organization subpart
Yes

Provider details

NPI number
Legal business name
U.S. RENAL CARE, INC.
Authorized official
THOMAS L. WEINBERG (AUTHORIZED OFFICIAL)
(214) 736-2700
Entity
Organization

Contact information

Practice address
2084 OTAY LAKES RD, STE 101-A, CHULA VISTA, CA 91915-1368
(619) 397-0262
(619) 482-6791
Mailing address
1 WORLD TRADE CTR STE 2500, LONG BEACH, CA 90831-2500
(562) 495-8075
(562) 495-8076

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
09/18/2013
Last updated
02/02/2015
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